A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016

Margo S. Harrison; Sarah Saleem; Sumera Ali; Omrana Pasha; Elwyn Chomba; Waldemar A. Carlo; Ana L. Garces; Nancy F. Krebs; K. Michael Hambidge; Shivaprasad S. Goudar; S. M. Dhaded; Bhala Kodkany; Richard J. Derman; Archana Patel; Patricia L. Hibberd; Fabian Esamai; Edward A. Liechty; Antoinette Tshefu; Adrien Lokangaka; Melissa Bauserman; Carl L. Bose; Fernando Althabe; Jose M. Belizan; Pierre Buekens; Janet L. Moore; Dennis D. Wallace; Menachem Miodovnik; Marion Koso-Thomas; Elizabeth M. McClure; Robert L. Goldenberg

doi:10.1055/s-0038-1673656

A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016

Margo S. Harrison, Sarah Saleem, Sumera Ali, Omrana Pasha, Elwyn Chomba, Waldemar A. Carlo, Ana L. Garces, Nancy F. Krebs, K. Michael Hambidge, Shivaprasad S. Goudar, S. M. Dhaded, Bhala Kodkany, Richard J. Derman, Archana Patel, Patricia L. Hibberd, Fabian Esamai, Edward A. Liechty, Antoinette Tshefu, Adrien Lokangaka, Melissa BausermanCarl L. Bose, Fernando Althabe, Jose M. Belizan, Pierre Buekens, Janet L. Moore, Dennis D. Wallace, Menachem Miodovnik, Marion Koso-Thomas, Elizabeth M. McClure, Robert L. Goldenberg

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Objective Few data are available on cesarean delivery and operative vaginal delivery trends in low- and middle-income countries. Our objective was to analyze a prospective population-based registry including eight sites in seven low- and middle-income countries to observe trends in operative vaginal delivery versus cesarean delivery rates over time, across sites. Study Design A prospective population-based study, including home and facility births among women enrolled from 2010 to 2016, was performed in communities in Argentina, Democratic Republic of Congo, Guatemala, India, Kenya, Pakistan, and Zambia. Women were enrolled during pregnancy and delivery outcome data were collected. Results We analyzed 354,287 women; 4,119 (1.2%) underwent an operative vaginal delivery and 45,032 (11.2%) delivered by cesarean. Across all sites with data for 7 years, rates of operative vaginal delivery decreased from 1.6 to 0.3%, while cesarean delivery increased from 6.4 to 14.4%. Similar trends were seen when individual country data were analyzed. Operative vaginal delivery rates decreased in both hospitals and clinics, except in the hospital setting at one of the Indian sites. Conclusion In low- and middle-income countries, operative vaginal delivery is becoming less utilized while cesarean delivery is becoming an increasingly common mode of delivery.

Original language	English (US)
Pages (from-to)	730-736
Number of pages	7
Journal	American journal of perinatology
Volume	36
Issue number	7
DOIs	https://doi.org/10.1055/s-0038-1673656
State	Published - 2019

Keywords

cesarean delivery
facility-based delivery
low- and middle-income countries
mode of delivery
operative vaginal delivery

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Obstetrics and Gynecology

Access to Document

10.1055/s-0038-1673656

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Harrison, M. S., Saleem, S., Ali, S., Pasha, O., Chomba, E., Carlo, W. A., Garces, A. L., Krebs, N. F., Hambidge, K. M., Goudar, S. S., Dhaded, S. M., Kodkany, B., Derman, R. J., Patel, A., Hibberd, P. L., Esamai, F., Liechty, E. A., Tshefu, A., Lokangaka, A., ... Goldenberg, R. L. (2019). A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016. American journal of perinatology, 36(7), 730-736. https://doi.org/10.1055/s-0038-1673656

Harrison, MS, Saleem, S, Ali, S, Pasha, O, Chomba, E, Carlo, WA, Garces, AL, Krebs, NF, Hambidge, KM, Goudar, SS, Dhaded, SM, Kodkany, B, Derman, RJ, Patel, A, Hibberd, PL, Esamai, F, Liechty, EA, Tshefu, A, Lokangaka, A, Bauserman, M, Bose, CL, Althabe, F, Belizan, JM, Buekens, P, Moore, JL, Wallace, DD, Miodovnik, M, Koso-Thomas, M, McClure, EM & Goldenberg, RL 2019, 'A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016', American journal of perinatology, vol. 36, no. 7, pp. 730-736. https://doi.org/10.1055/s-0038-1673656

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title = "A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016",

abstract = "Objective Few data are available on cesarean delivery and operative vaginal delivery trends in low- and middle-income countries. Our objective was to analyze a prospective population-based registry including eight sites in seven low- and middle-income countries to observe trends in operative vaginal delivery versus cesarean delivery rates over time, across sites. Study Design A prospective population-based study, including home and facility births among women enrolled from 2010 to 2016, was performed in communities in Argentina, Democratic Republic of Congo, Guatemala, India, Kenya, Pakistan, and Zambia. Women were enrolled during pregnancy and delivery outcome data were collected. Results We analyzed 354,287 women; 4,119 (1.2%) underwent an operative vaginal delivery and 45,032 (11.2%) delivered by cesarean. Across all sites with data for 7 years, rates of operative vaginal delivery decreased from 1.6 to 0.3%, while cesarean delivery increased from 6.4 to 14.4%. Similar trends were seen when individual country data were analyzed. Operative vaginal delivery rates decreased in both hospitals and clinics, except in the hospital setting at one of the Indian sites. Conclusion In low- and middle-income countries, operative vaginal delivery is becoming less utilized while cesarean delivery is becoming an increasingly common mode of delivery.",

keywords = "cesarean delivery, facility-based delivery, low- and middle-income countries, mode of delivery, operative vaginal delivery",

author = "Harrison, {Margo S.} and Sarah Saleem and Sumera Ali and Omrana Pasha and Elwyn Chomba and Carlo, {Waldemar A.} and Garces, {Ana L.} and Krebs, {Nancy F.} and Hambidge, {K. Michael} and Goudar, {Shivaprasad S.} and Dhaded, {S. M.} and Bhala Kodkany and Derman, {Richard J.} and Archana Patel and Hibberd, {Patricia L.} and Fabian Esamai and Liechty, {Edward A.} and Antoinette Tshefu and Adrien Lokangaka and Melissa Bauserman and Bose, {Carl L.} and Fernando Althabe and Belizan, {Jose M.} and Pierre Buekens and Moore, {Janet L.} and Wallace, {Dennis D.} and Menachem Miodovnik and Marion Koso-Thomas and McClure, {Elizabeth M.} and Goldenberg, {Robert L.}",

note = "Publisher Copyright: {\textcopyright} 2019 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.",

year = "2019",

doi = "10.1055/s-0038-1673656",

language = "English (US)",

volume = "36",

pages = "730--736",

journal = "American journal of perinatology",

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TY - JOUR

T1 - A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016

AU - Harrison, Margo S.

AU - Saleem, Sarah

AU - Ali, Sumera

AU - Pasha, Omrana

AU - Chomba, Elwyn

AU - Carlo, Waldemar A.

AU - Garces, Ana L.

AU - Krebs, Nancy F.

AU - Hambidge, K. Michael

AU - Goudar, Shivaprasad S.

AU - Dhaded, S. M.

AU - Kodkany, Bhala

AU - Derman, Richard J.

AU - Patel, Archana

AU - Hibberd, Patricia L.

AU - Esamai, Fabian

AU - Liechty, Edward A.

AU - Tshefu, Antoinette

AU - Lokangaka, Adrien

AU - Bauserman, Melissa

AU - Bose, Carl L.

AU - Althabe, Fernando

AU - Belizan, Jose M.

AU - Buekens, Pierre

AU - Moore, Janet L.

AU - Wallace, Dennis D.

AU - Miodovnik, Menachem

AU - Koso-Thomas, Marion

AU - McClure, Elizabeth M.

AU - Goldenberg, Robert L.

PY - 2019

Y1 - 2019

N2 - Objective Few data are available on cesarean delivery and operative vaginal delivery trends in low- and middle-income countries. Our objective was to analyze a prospective population-based registry including eight sites in seven low- and middle-income countries to observe trends in operative vaginal delivery versus cesarean delivery rates over time, across sites. Study Design A prospective population-based study, including home and facility births among women enrolled from 2010 to 2016, was performed in communities in Argentina, Democratic Republic of Congo, Guatemala, India, Kenya, Pakistan, and Zambia. Women were enrolled during pregnancy and delivery outcome data were collected. Results We analyzed 354,287 women; 4,119 (1.2%) underwent an operative vaginal delivery and 45,032 (11.2%) delivered by cesarean. Across all sites with data for 7 years, rates of operative vaginal delivery decreased from 1.6 to 0.3%, while cesarean delivery increased from 6.4 to 14.4%. Similar trends were seen when individual country data were analyzed. Operative vaginal delivery rates decreased in both hospitals and clinics, except in the hospital setting at one of the Indian sites. Conclusion In low- and middle-income countries, operative vaginal delivery is becoming less utilized while cesarean delivery is becoming an increasingly common mode of delivery.

AB - Objective Few data are available on cesarean delivery and operative vaginal delivery trends in low- and middle-income countries. Our objective was to analyze a prospective population-based registry including eight sites in seven low- and middle-income countries to observe trends in operative vaginal delivery versus cesarean delivery rates over time, across sites. Study Design A prospective population-based study, including home and facility births among women enrolled from 2010 to 2016, was performed in communities in Argentina, Democratic Republic of Congo, Guatemala, India, Kenya, Pakistan, and Zambia. Women were enrolled during pregnancy and delivery outcome data were collected. Results We analyzed 354,287 women; 4,119 (1.2%) underwent an operative vaginal delivery and 45,032 (11.2%) delivered by cesarean. Across all sites with data for 7 years, rates of operative vaginal delivery decreased from 1.6 to 0.3%, while cesarean delivery increased from 6.4 to 14.4%. Similar trends were seen when individual country data were analyzed. Operative vaginal delivery rates decreased in both hospitals and clinics, except in the hospital setting at one of the Indian sites. Conclusion In low- and middle-income countries, operative vaginal delivery is becoming less utilized while cesarean delivery is becoming an increasingly common mode of delivery.

KW - cesarean delivery

KW - facility-based delivery

KW - low- and middle-income countries

KW - mode of delivery

KW - operative vaginal delivery

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DO - 10.1055/s-0038-1673656

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AN - SCOPUS:85063533459

SN - 0735-1631

VL - 36

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JO - American journal of perinatology

JF - American journal of perinatology

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ER -

A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016

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Keywords

ASJC Scopus subject areas

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